| NPI | 1346769957 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MA 6140) |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: MA 6140) |
| Enumeration Date | 2017-09-14 |
| Last Update Date | 2022-07-21 |